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1114416278
GENEVIEVE JOHNSON
LONGMONT, CO
NPI
1114416278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
GENEVIEVE JOHNSON
2130 MOUNTAIN VIEW AVE STE 106
LONGMONT, CO 80501-3177
Phone number: 916-215-9128
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Mailing Address
GENEVIEVE JOHNSON
1124 KANSAS AVE
LONGMONT, CO 80501-6648
Phone number: 916-215-9128
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